AdventHealth Polk — Ultrasound prices
← Hospital overviewVerified from AdventHealth Polk’s published price file
Includes list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
5 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC ECHO,PELVIC (NONOBSTETRIC) Inpatient & outpatient | 76856 HCPCS | $999 | — | — | — | |
| HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE Inpatient & outpatient | 76700 HCPCS | $1,129 | — | — | — | |
| HC US, ABDOMEN LIMITED Inpatient & outpatient | 76705 HCPCS | $900 | — | — | — | |
| HC US, HEAD/NECK TISSUES,REAL TIME Inpatient & outpatient | 76536 HCPCS | $960 | — | — | — | |
| HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE Inpatient & outpatient | 76770 HCPCS | $1,092 | — | — | — |